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El Mirage Group Home Llc
Assisted Living Facility in El Mirage, Arizona
NPI 1174247332

El Mirage Group Home Llc is an Assisted Living Facility based in El Mirage, AZ. El Mirage Group Home Llc practices in El Mirage, AZ. The NPI Number for El Mirage Group Home Llc is 1174247332 and holds a License No. (Arizona).

The current practice location address for El Mirage Group Home Llc is 13045 W Port Royale Ln, El Mirage, AZ and can be reached out via phone at 623-694-5101.

Location: 13045 W Port Royale Ln, El Mirage, AZ, 85335-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174247332
Provider Name
El Mirage Group Home Llc
Credential
Provider Entity Type
Organization
Address
13045 W Port Royale Ln, El Mirage, AZ, 85335-3428
Phone Number
623-694-5101
Fax Number
Provider Enumeration Date
09/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13045 W Port Royale Ln
City
El Mirage
State
Arizona
Zip
85335-3428
Phone Number
623-694-5101
Fax Number
person
Provider Business Mailing Address Details
Address
13045 W Port Royale Ln
City
El Mirage
State
Arizona
Zip
85335-3428
Phone Number
623-694-5101
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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